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燃情冬奧,當(dāng)滑冰遇上骨折,運(yùn)動(dòng)醫(yī)學(xué)科優(yōu)勢(shì)微創(chuàng)技術(shù)解難...
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">冬季奧運(yùn)會(huì)
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">正在北京如火如荼地進(jìn)行著,全世界的目光都聚集在這片冰雪天地中。各國運(yùn)動(dòng)員健兒們?cè)谫悎?chǎng)上的颯爽英姿調(diào)動(dòng)了每一位觀眾的運(yùn)動(dòng)熱情。東北地區(qū)多有降雪,不少小伙伴已經(jīng)在冰上玩起來了。但是運(yùn)動(dòng)和玩耍的同時(shí),可要千萬注意保護(hù)好自己,冰面濕滑,稍不留神就會(huì)摔倒,摔得不巧還有骨折風(fēng)險(xiǎn)。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">病例
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">27歲的小佳1年前參加公司團(tuán)建到遼寧游玩,在著名的鴨綠江前,眼見江面結(jié)了厚冰,興奮的他跑到冰面上“撒歡”,結(jié)果大意失荊州,一跤摔下去,頓時(shí)手肘劇痛、動(dòng)彈不得。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">由于小佳肘關(guān)節(jié)已見活動(dòng)障礙,本來愉快的假期只能緊急暫停,匆匆打道回府,趕到
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院運(yùn)動(dòng)醫(yī)學(xué)科糜菁熠副院長專家門診
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">處就診。經(jīng)CT檢查提示患者橈骨頭骨折,骨折塌陷臺(tái)階達(dá)約5mm,需要手術(shù)治療。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">生活中常見的滑倒模式為FOOSH,即fall onto an outstretched hand,也就是摔倒時(shí)手掌撐地。這種情況下可能會(huì)引起上肢某個(gè)關(guān)節(jié)脫位或者骨折,而對(duì)于肘關(guān)節(jié),橈骨頭骨折就是其中較為常見的一種。嚴(yán)重的橈骨頭骨折,會(huì)引起肘關(guān)節(jié)活動(dòng)障礙、疼痛,影響日常生活和行動(dòng)。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">為了獲得最佳治療效果,小佳入住了
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院運(yùn)動(dòng)醫(yī)學(xué)科。但他也有顧慮,希望手術(shù)能盡量保持手臂的美觀,不留下疤痕。糜院長團(tuán)隊(duì)分析:傳統(tǒng)治療方式為手術(shù)中切開皮膚,直視下復(fù)位骨折,但這種手術(shù)存在損傷韌帶的可能性,并且疤痕較大,影響美觀;如應(yīng)用肘關(guān)節(jié)鏡微創(chuàng)技術(shù)輔助骨折復(fù)位,只需在肘關(guān)節(jié)周圍設(shè)計(jì)幾個(gè)大小約1cm切口,就可以達(dá)到良好的手術(shù)治療效果,這樣既兼顧美觀也能更好規(guī)避韌帶損傷的風(fēng)險(xiǎn)。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">但是,肘關(guān)節(jié)鏡微創(chuàng)手術(shù)的難點(diǎn)在于肘關(guān)節(jié)腔隙小(約25ml,半個(gè)雞蛋的量)、周圍血管神經(jīng)毗鄰很近,因此損傷周圍組織的風(fēng)險(xiǎn)較大。這樣高難度的手術(shù)在無錫尚屬獨(dú)家,且在江蘇省也屬領(lǐng)先技術(shù)。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">考慮到小佳的顧慮,糜院長團(tuán)隊(duì)在綜合評(píng)估其狀況后,建議行肘關(guān)節(jié)鏡下骨折復(fù)位內(nèi)固定術(shù)。患者術(shù)后約1周時(shí)間順利出院,恢復(fù)情況良好。最后一次的復(fù)查CT也提示骨折愈合情況良好。在取出內(nèi)固定螺釘后,看著皮膚上小到肉眼幾乎可以忽視的傷疤和活動(dòng)靈活的手肘,小佳年輕的臉上滿是欣喜和感激。
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術(shù)中
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mso-font-kerning:1.0000pt;">運(yùn)動(dòng)醫(yī)學(xué)科 余炯
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慎終如始,同心戰(zhàn)疫,我院多管齊下夯實(shí)抗疫戰(zhàn)線
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">疫情就是命令
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;"> 一線就是戰(zhàn)場(chǎng)
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">面對(duì)當(dāng)前疫情的突發(fā)性和復(fù)雜性,
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院黨政班子高度重視,第一時(shí)間召開疫情防控專項(xiàng)工作會(huì)議,堅(jiān)決壓實(shí)各層級(jí)防控責(zé)任,統(tǒng)籌推進(jìn)疫情防控和診療救治“兩手硬”。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">嚴(yán)把入口關(guān),落實(shí)落細(xì)預(yù)檢分診、首診負(fù)責(zé)管理,強(qiáng)化來院人員的排查管控,細(xì)化門診病人、住院病人及陪客人員的日常管理以及院內(nèi)感染控制各項(xiàng)工作,并迅速響應(yīng)上級(jí)號(hào)召,克服人員緊張的實(shí)際情況,從各條線共選派60余人支援全市各點(diǎn)位核酸檢測(cè)、隔離酒店保障、疫苗接種等工作,切實(shí)筑牢無錫疫情防控屏障,全力維護(hù)人民群眾生命安全和身體健康。
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mso-font-kerning:1.0000pt;">醫(yī)院召開專項(xiàng)會(huì)議對(duì)疫情防控工作再部署
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mso-font-kerning:1.0000pt;">嚴(yán)把疫情防控“入口關(guān)”
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)院加強(qiáng)出入口管理,嚴(yán)格落實(shí)所有入院人員規(guī)范佩戴口罩、測(cè)溫、查驗(yàn)“兩碼”、流行病學(xué)史詢問、流調(diào)登記等防控工作要求,守好第一道“關(guān)卡”。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)院在充分應(yīng)用智能掃碼閘機(jī)優(yōu)勢(shì)的同時(shí),在門診、急診等前沿關(guān)口,強(qiáng)化預(yù)檢分診,嚴(yán)格人員入口和發(fā)熱疑似患者篩查工作。針對(duì)“愿檢盡檢”黃碼人員按照市防控指揮部要求,到指定地點(diǎn)進(jìn)行核酸采樣;對(duì)于發(fā)熱患者,經(jīng)預(yù)檢分診處醫(yī)生評(píng)估后,由專人帶至發(fā)熱門診就診。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)院病區(qū)嚴(yán)格執(zhí)行陪客管理制度,陪護(hù)人員需出示48小時(shí)內(nèi)核酸陰性報(bào)告,健康碼及行程碼符合要求,方可入病區(qū),并實(shí)行封閉管理。此外,醫(yī)院做好全員內(nèi)部安全管控,院感科提高檢測(cè)頻次,對(duì)全院施行加密管理,避免交叉感染發(fā)生,保障醫(yī)患安全。
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mso-font-kerning:1.0000pt;">提質(zhì)增效優(yōu)化核酸檢測(cè)流程
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)院常態(tài)化提供24小時(shí)核酸采樣,充實(shí)力量配備,根據(jù)現(xiàn)場(chǎng)情況,隨時(shí)啟動(dòng)應(yīng)急預(yù)案,增開登記、采樣窗口,保持連軸轉(zhuǎn)高效運(yùn)作,全天候滿足“愿檢盡檢”人員核酸檢測(cè)需求。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">為加速核酸采樣進(jìn)度,醫(yī)院持續(xù)優(yōu)化流程管理。持身份證/醫(yī)保卡原件,電子醫(yī)保卡的混采人員可至自助機(jī)繳費(fèi),單采人員需至人工窗口登記、繳費(fèi),繳費(fèi)成功后,兩者皆可持憑條至專用窗口采樣。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">面對(duì)核酸檢測(cè)高峰,院部統(tǒng)籌規(guī)劃,明確院領(lǐng)導(dǎo)帶班,要求院行政、護(hù)理、醫(yī)療三大總值班時(shí)刻關(guān)注現(xiàn)場(chǎng)情況并進(jìn)行綜合協(xié)調(diào),行政職能科室全員參與,優(yōu)化排班常駐現(xiàn)場(chǎng),組織分流提速和協(xié)調(diào)溝通,耐心解答市民對(duì)檢測(cè)的各類問題,引導(dǎo)患者按照核酸檢測(cè)流程進(jìn)行操作,保障“一米線”安全距離落實(shí)到位。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">根據(jù)上級(jí)要求,醫(yī)院優(yōu)化完善核酸“采、送、檢、報(bào)”環(huán)節(jié),實(shí)現(xiàn)采樣精準(zhǔn)、送檢及時(shí)、檢測(cè)高效、反饋快速,確保及時(shí)出具核酸檢測(cè)結(jié)果報(bào)告。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)學(xué)檢驗(yàn)科工作人員作為“隱形戰(zhàn)士”,每天需快速準(zhǔn)確完成檢測(cè)任務(wù)。檢驗(yàn)科王秋波主任介紹:“近期科室增派人手,儀器、人員不停歇,PCR實(shí)驗(yàn)室通宵達(dá)旦已成常態(tài)。但檢驗(yàn)人員毫無怨言,因?yàn)榇蠹夷繕?biāo)一致,為的就是在第一時(shí)間能夠出具報(bào)告!”
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mso-font-kerning:1.0000pt;">有召必應(yīng)顯擔(dān)當(dāng)
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">疫情就是命令,為響應(yīng)上級(jí)工作部署,醫(yī)院克服臨床春節(jié)后病員數(shù)量快速遞增的工作壓力,第一時(shí)間從醫(yī)、技、護(hù)、職能科室各條線選派多位醫(yī)務(wù)人員,分別到全市各“哨點(diǎn)”,梁溪區(qū)、濱湖區(qū)街道,隔離酒店,學(xué)校等支援開展核酸檢測(cè)工作,成為錫城的暖心“大白”。每一次外派團(tuán)隊(duì)臨行前,院領(lǐng)導(dǎo)都再三叮囑:聽從安排,嚴(yán)格規(guī)范,做好外援疫情防控工作,同時(shí)注意團(tuán)隊(duì)合作和自身安全。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)院后勤保障部考慮天氣嚴(yán)寒,立即為抗疫人員準(zhǔn)備了羽絨服、暖寶寶等御寒用品,保障他們安心堅(jiān)守,打好疫情“保衛(wèi)戰(zhàn)”。
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mso-font-kerning:1.0000pt;">溫情服務(wù)暖人心
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">醫(yī)院對(duì)特殊人群克服硬性要求,同樣提供暖心服務(wù)。考慮到部分老年人無法提供“兩碼”,醫(yī)院特設(shè)綠色通道,由醫(yī)護(hù)人員做好手工信息登記工作,做到快速、有序、有溫度。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">為提高市民核酸檢測(cè)的便捷性,醫(yī)院宣傳科精心繪制檢測(cè)動(dòng)態(tài)路線圖、增設(shè)檢測(cè)提示等相關(guān)標(biāo)識(shí)標(biāo)牌,規(guī)范化的指引大大縮減患者在寒風(fēng)中的等候時(shí)間。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">在發(fā)熱門診就診區(qū)、等候區(qū)、留觀室內(nèi),醫(yī)院為患者提供紙杯、凈水、輪椅等溫馨服務(wù),并定時(shí)為他們復(fù)測(cè)體溫,時(shí)時(shí)觀察、詢問患者病情,及時(shí)對(duì)癥處理,切實(shí)關(guān)心好留觀、隔離人員的身心狀態(tài)。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">抗擊疫情,相聚有時(shí)
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">筑牢健康防線,守護(hù)這座城
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mso-font-kerning:1.0000pt;">宣傳科
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開學(xué)季,聚焦兒童易被忽視的疾病問題:孩子睡覺打呼就是...
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mso-font-kerning:1.0000pt;">很多家長認(rèn)為
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mso-font-kerning:1.0000pt;">孩子打呼嚕 = 睡得香 = 睡得好
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mso-font-kerning:1.0000pt;">大!錯(cuò)!特!錯(cuò)!如果你家有“呼嚕娃”
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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">且根據(jù)本文科普知識(shí)
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mso-font-kerning:1.0000pt;">預(yù)判有特殊情況的
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mso-font-kerning:1.0000pt;">最好趕緊去醫(yī)院做個(gè)檢查
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mso-font-kerning:1.0000pt;">否則可能影響到孩子的顏值和智商
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mso-font-kerning:1.0000pt;">5歲的冬冬(化名)就是個(gè)“呼嚕娃”。冬冬的媽媽發(fā)現(xiàn),開學(xué)以來冬冬睡覺打呼嚕愈加頻繁,鼾聲也越來越大。有時(shí)呼嚕打到一半,會(huì)忽然按下“暫停鍵”,過一會(huì)兒又繼續(xù)響起,一晚上甚至達(dá)50余次“暫停”;有時(shí)睡覺不安穩(wěn),孩子自己會(huì)突然被憋醒,醒后大汗淋漓、心跳加快。平常東東還有個(gè)不良習(xí)慣:用嘴呼吸而非用鼻呼吸。媽媽擔(dān)心他的身體是否出了問題,趕緊帶冬冬到
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mso-font-kerning:1.0000pt;">我
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mso-font-kerning:1.0000pt;">院兒科就診。
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mso-font-kerning:1.0000pt;">院兒科醫(yī)生陸漢明經(jīng)過仔細(xì)查體,發(fā)現(xiàn)冬冬的腺樣體肥大,從而易出現(xiàn)阻塞性睡眠呼吸暫停低通氣綜合征(OSAHS),這就是他打呼嚕伴有憋氣現(xiàn)象的原因。
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mso-bidi-font-family:'Times New Roman';font-weight:bold;font-size:10.5000pt;
mso-font-kerning:1.0000pt;">腺樣體肥大常見嗎?
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">像冬冬這樣的孩子其實(shí)并不少見。最新的國內(nèi)流行病學(xué)數(shù)據(jù)顯示,兒童阻塞性睡眠呼吸暫停(OSA)患病率高達(dá)1.2%~5.7%。也就是說,每100個(gè)孩子里,就會(huì)有1~6個(gè)孩子得這個(gè)病。其中,肥胖兒童的發(fā)病率明顯高于其他兒童。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">陸醫(yī)生介紹,打鼾一般分為生理性和病理性。生理性打鼾是指有些孩子在玩的特別勞累,或者是在仰臥位或者睡眠體位不適合時(shí),咽部肌肉出現(xiàn)短暫性松弛造成的打鼾。這類鼾聲比較細(xì)膩、平和、悠緩、均勻,它不影響睡眠和他人休息,對(duì)身體沒有損害,一般不需要治療。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">病理性打鼾大多數(shù)為口鼻咽部和咽腔狹窄性疾病,如扁桃體肥大、咽部膿腫、懸雍垂充血水腫、鼻息肉、鼻咽部腫瘤、肥胖癥等,由于氣道狹窄,睡眠期間上氣道塌陷和氣流受阻,氣流通過狹窄部位時(shí),產(chǎn)生渦流并引起振動(dòng),產(chǎn)生鼾聲,不僅影響別人睡眠休息,而且還往往伴有睡眠呼吸暫停。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">陸醫(yī)生經(jīng)過分析和整理病例發(fā)現(xiàn),來
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院就診的患兒,有較高比例是病理性打鼾,其中腺樣體和扁桃體肥大是常見的原因。腺樣體,是位于鼻子和喉嚨之間的塊狀組織。扁桃體,則是位于喉嚨后面的兩個(gè)腺體。腺樣體和扁桃體一樣,出生后隨著年齡的增長而逐漸長大,2-6歲時(shí)為增殖旺盛的時(shí)期,10歲以后逐漸萎縮。 睡眠時(shí),空氣分別通過鼻、咽、喉,再進(jìn)入氣管。如果這個(gè)通道的任何一段變窄了,甚至變成縫隙了,氣流通過時(shí)就會(huì)發(fā)出聲音,這就是打呼嚕。當(dāng)有扁桃體肥大或腺樣體肥大、鼻炎時(shí),鼻腔呼吸的通道被阻塞,氣流只能通過口腔呼吸來替代鼻腔呼吸,久而久之就習(xí)慣于長期的“張口呼吸”了。
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mso-font-kerning:1.0000pt;">“呼嚕娃”不及時(shí)就診會(huì)產(chǎn)生什么后果?
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">別小看孩子打呼嚕,要是長期不管不問,后果真的挺嚴(yán)重:長期的張口呼吸可致面部骨骼發(fā)育異常形成腺樣體面容,上頜骨變長、腭骨高、鼻中隔彎曲、牙列不齊、上切牙突出、唇厚、缺乏表情。而腺樣體面容一旦形成很難糾正。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">顏值越來越差
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">當(dāng)孩子腺樣體肥大或過于肥胖,容易因鼻塞影響呼吸而張口呼吸。而長期口呼吸,氣流沖擊硬腭會(huì)使硬腭變形、高拱。久而久之,面部的發(fā)育會(huì)變形,孩子會(huì)越長越丑:頜骨變長,腭骨高拱,牙列不齊,上切牙突出,唇厚,缺乏表情,出現(xiàn)所謂“腺樣體面容”。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">長不高
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">生長激素主要是在夜間深度睡眠下分泌。如果孩子夜間打鼾,伴有間斷呼吸暫停,就很容易被憋醒。即使不被憋醒,長時(shí)間淺睡眠的狀況,也會(huì)導(dǎo)致生長激素分泌下降,造成生長發(fā)育遲緩,個(gè)子矮小。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">智商發(fā)育落
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">孩子長期用口呼吸、鼻子不通氣,就不能吸入足夠氧氣。而嚴(yán)重缺氧,直接導(dǎo)致腦部發(fā)育的供氧不足。有不少診斷患有OSAHS的孩子,智商都落后于同齡孩子。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">免疫力低易生病
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">孩子可能厭食、消化不良、全身發(fā)育和營養(yǎng)狀況較差,并有夜驚、磨牙、夜尿增多等情況。此外,還會(huì)造成鄰近器官的疾病,如反復(fù)發(fā)作的分泌性中耳炎、過敏性鼻炎、哮喘等。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">反應(yīng)遲鈍成績下降
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">孩子晚上睡不好,精力就得不到保證,可能會(huì)上課嗜睡、注意力不集中、反應(yīng)遲鈍、記憶力下降,學(xué)習(xí)成績難免下降。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">你家娃有沒有睡眠障礙?醫(yī)生教你看9個(gè)細(xì)節(jié)
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">看到這里,有些家長可能有些發(fā)慌了,孩子偶爾也打鼾,是否是睡眠障礙呢?
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mso-font-kerning:1.0000pt;">小久醫(yī)生劃重點(diǎn)
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mso-font-kerning:1.0000pt;">,
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mso-font-kerning:1.0000pt;">有以下癥狀應(yīng)及時(shí)送醫(yī)檢查
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mso-font-kerning:1.0000pt;">1、
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">夜間經(jīng)常打鼾,每周至少3晚打鼾
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mso-font-kerning:1.0000pt;">2、
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mso-font-kerning:1.0000pt;">呼吸費(fèi)力、張口呼吸,或是出現(xiàn)暫時(shí)呼吸停止繼而喘息
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mso-font-kerning:1.0000pt;">3、
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mso-font-kerning:1.0000pt;">睡覺時(shí)焦躁不安,容易憋醒
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mso-font-kerning:1.0000pt;">4、
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mso-font-kerning:1.0000pt;">夜尿增多,或是經(jīng)常尿床
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mso-font-kerning:1.0000pt;">5、
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mso-font-kerning:1.0000pt;">晨起頭疼,或是頭暈、口干
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mso-font-kerning:1.0000pt;">6、
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mso-font-kerning:1.0000pt;">白天嗜睡、乏力困倦
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mso-font-kerning:1.0000pt;">7、
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mso-font-kerning:1.0000pt;">注意力不集中、記憶力減退、脾氣急躁
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mso-font-kerning:1.0000pt;">8、
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mso-font-kerning:1.0000pt;">顱面有小下頜、下頜平面陡、下頜后移的現(xiàn)象
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mso-font-kerning:1.0000pt;">9、
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mso-font-kerning:1.0000pt;">生長發(fā)育遲緩,學(xué)習(xí)能力下降
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mso-font-kerning:1.0000pt;">。
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mso-font-kerning:1.0000pt;">對(duì)照上述癥狀,如果孩子同時(shí)有幾項(xiàng),最好及時(shí)去看醫(yī)生,以免錯(cuò)過最佳治療時(shí)機(jī)。
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mso-hansi-font-family:Calibri;mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;
mso-font-kerning:1.0000pt;">如果孩子確診患有OSA,家長也不必過于緊張。一般患兒,通過非手術(shù)治療或是手術(shù)治療,基本上都可以達(dá)到滿意的治療效果。
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mso-font-kerning:1.0000pt;">兒科 陸漢明
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mso-font-kerning:1.0000pt;">)
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節(jié)后首日院領(lǐng)導(dǎo)深入科室團(tuán)拜,昂虎志、鼓虎勁!
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">2月7日上午9點(diǎn),
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mso-font-kerning:1.0000pt;">我
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院黨委書記芮永軍攜黨政班子及相關(guān)職能科室負(fù)責(zé)人,分成三個(gè)條線分別到達(dá)醫(yī)院各科室、病區(qū),向全院職工拜年,致以最美好的新春祝福并激勵(lì)全院上下奮斗實(shí)干,鉚足“虎勁”開啟虎年新征程!
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">芮永軍書記、周全斌副院長一行來到骨科、康復(fù)醫(yī)學(xué)科、檢驗(yàn)科、麻醉科各病區(qū)、科室,慰問辛勤忙碌的醫(yī)務(wù)人員,勉勵(lì)大家在新的一年里要圍繞醫(yī)院十四五規(guī)劃要求,根據(jù)科室發(fā)展目標(biāo),繼續(xù)發(fā)揚(yáng)團(tuán)結(jié)協(xié)作、努力拼搏的奮斗精神,在已取得的各項(xiàng)工作成績基礎(chǔ)上,乘勢(shì)而上。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">芮書記強(qiáng)調(diào)大骨科、康復(fù)醫(yī)學(xué)科作為市臨床重點(diǎn)專科,繼續(xù)將專科特色做強(qiáng)、做精、做細(xì):脊柱外科進(jìn)一步擴(kuò)大專業(yè)病種,技術(shù)向微創(chuàng)化、規(guī)范化發(fā)展;兒骨科醫(yī)治病種達(dá)到省級(jí)標(biāo)準(zhǔn),開設(shè)專病門診;創(chuàng)傷骨科以上、下肢,骨盆、髖臼為特色,進(jìn)一步細(xì)分科室技術(shù);關(guān)節(jié)外科做強(qiáng)膝、髖微創(chuàng)治療特色;運(yùn)動(dòng)醫(yī)學(xué)科以中小關(guān)節(jié)鏡為特色,微創(chuàng)治療上肢、肩、肘、腕關(guān)節(jié)損傷與疾病;足踝外科以內(nèi)固定技術(shù)、關(guān)節(jié)鏡微創(chuàng)技術(shù)、矯形外科技術(shù)三位一體的先進(jìn)技術(shù)為主攻方向;康復(fù)醫(yī)學(xué)科以骨科康復(fù)為優(yōu)勢(shì),擴(kuò)大神經(jīng)、中醫(yī)康復(fù)診療范圍,向綜合康復(fù)特色發(fā)展,爭(zhēng)創(chuàng)省重點(diǎn)專、學(xué)科。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">在檢驗(yàn)科會(huì)議室,芮書記親切慰問支援外省、市歸來的兩位抗疫人員,傾聽他們?cè)诳挂咭痪€工作后的所感所悟,對(duì)他們代表九院完成上級(jí)部署任務(wù)付出的努力和辛勞表示感謝,并對(duì)檢驗(yàn)科加快市重點(diǎn)專科的建設(shè)提出硬性要求。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">糜菁熠副院長、紀(jì)委陳楊書記一行看望綜合科室條線,在新春工作首日給大家鼓勁、提氣。糜院長指出綜合科室發(fā)展關(guān)鍵要理念轉(zhuǎn)變,實(shí)現(xiàn)外科腔鏡化、內(nèi)科手術(shù)化發(fā)展趨勢(shì),借力上海優(yōu)質(zhì)醫(yī)療技術(shù)、資源,消化內(nèi)科在早期發(fā)現(xiàn)、微創(chuàng)手術(shù)、精準(zhǔn)治療方面形成特色;呼吸內(nèi)科要夯實(shí)現(xiàn)有基礎(chǔ),重點(diǎn)加快整合氣管鏡、睡眠監(jiān)測(cè)、RICU、肺功能監(jiān)測(cè)等專項(xiàng)技術(shù)的作用發(fā)揮,提升綜合整治能力,并加快VIP病房的完善;心內(nèi)科加快擴(kuò)面專科技術(shù),重點(diǎn)提升DSA精準(zhǔn)化救治水平,進(jìn)一步完善和影像科的緊密合作管理和流程改進(jìn);內(nèi)分泌科與創(chuàng)面修復(fù)科通力合作,明確管理歸屬;眼科、婦產(chǎn)科加快可持續(xù)人才梯隊(duì)搭建,外引內(nèi)培缺一不可;重癥醫(yī)學(xué)科按規(guī)劃實(shí)現(xiàn)重點(diǎn)技術(shù)突破,爭(zhēng)創(chuàng)多項(xiàng)省級(jí)以上科研創(chuàng)新,跨越更高臺(tái)階。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">“大家新年好!”“給大家拜年了!”薛明宇副院長、鮑向慧副院長一行來到門診、醫(yī)技科室、信息、后勤保障設(shè)施等10多個(gè)板塊。詳細(xì)了解有關(guān)疫情防護(hù)、患者診療、安全保障等情況,認(rèn)真聽取了科室新年重點(diǎn)工作的抓手和醫(yī)護(hù)人員的建議,現(xiàn)場(chǎng)交流認(rèn)真詳細(xì),并提出指導(dǎo)意見,重點(diǎn)強(qiáng)調(diào)在緊繃疫情防控這根弦的同時(shí)確保醫(yī)療質(zhì)量與安全,尤其是急危重癥患者的搶救,生命至上;醫(yī)技科室要主動(dòng)對(duì)接臨床,暢通危急值管理流程,有針對(duì)性地配合臨床開展創(chuàng)新性檢查檢驗(yàn),促進(jìn)臨床專科進(jìn)步,患者至上;門診要進(jìn)一步優(yōu)化就醫(yī)流程,第一時(shí)間解決好患者需求,服務(wù)至上;要細(xì)化應(yīng)急預(yù)案、加強(qiáng)消防、治安防范和后勤保障工作,安全至上。薛院鼓勵(lì)大家要在新的一年里團(tuán)結(jié)奮進(jìn)、開拓創(chuàng)新,用踏實(shí)的工作作風(fēng)為醫(yī)院發(fā)展貢獻(xiàn)力量,用嚴(yán)謹(jǐn)?shù)墓ぷ鲬B(tài)度為醫(yī)院發(fā)展增添光彩。
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">半天時(shí)間悄然而過,領(lǐng)導(dǎo)們一聲聲的問候,一處處的激勵(lì),全體醫(yī)護(hù)倍受鼓舞,一致表示不辜負(fù)院領(lǐng)導(dǎo)的希望,在各自的工作崗位上,做出新的更大的成績,為人民群眾提供生命健康堅(jiān)實(shí)保障。
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mso-font-kerning:1.0000pt;">宣傳科
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我院運(yùn)動(dòng)醫(yī)學(xué)科為您安全滑雪提供硬核保障
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">2022年2月8日上午,在北京冬奧會(huì)自由式滑雪女子大跳臺(tái)的比賽中,谷愛凌用一個(gè)此前從未做過的難度動(dòng)作,獲得冠軍。這也是中國運(yùn)動(dòng)員在該項(xiàng)目中歷史性的突破!
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">當(dāng)我們無數(shù)次回放天才少女的奪冠瞬間
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">津津樂道冬奧開幕式的驚艷
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">追問可愛的冰墩墩去哪買時(shí)
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">已有熱血沸騰的圍觀群眾沖到室內(nèi)滑雪場(chǎng)一展身姿
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">甚至有人直接“滑進(jìn)”了醫(yī)院
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mso-font-kerning:1.0000pt;">滑雪韌帶斷裂,微創(chuàng)手術(shù)重建
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">2個(gè)月前,運(yùn)動(dòng)愛好者小峰在人工滑雪場(chǎng)練習(xí)雙板滑雪時(shí)不慎扭傷膝關(guān)節(jié),在家制動(dòng)休息一段時(shí)間后,傷處持續(xù)疼痛、腫脹并伴活動(dòng)受限。因疼痛不敢伸直膝關(guān)節(jié)的小峰來到
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">院運(yùn)動(dòng)醫(yī)學(xué)科糜菁熠副院長專家門診,仔細(xì)查體發(fā)現(xiàn)患者勉強(qiáng)下地活動(dòng)時(shí),膝關(guān)節(jié)明顯不穩(wěn),且疼痛劇烈。經(jīng)影像學(xué)輔助檢查,明確診斷為右膝關(guān)節(jié)前交叉韌帶斷裂,建議手術(shù)治療。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">前交叉韌帶是膝關(guān)節(jié)韌帶的重要組成部分之一,
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mso-font-kerning:1.0000pt;">可以控制大小腿之間的移位,維持膝關(guān)節(jié)的前向、內(nèi)側(cè)以及旋轉(zhuǎn)穩(wěn)定性,是人們完成各種復(fù)雜以及高難度下肢運(yùn)動(dòng)的基礎(chǔ)。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">經(jīng)充分嚴(yán)謹(jǐn)?shù)男g(shù)前討論,糜院長團(tuán)隊(duì)為患者行右膝關(guān)節(jié)鏡下前交叉韌帶重建、肌腱移植、半月板成形、滑膜清理、韌帶皺縮術(shù),在精準(zhǔn)量取肌腱的長度和骨髓道的建立角度基礎(chǔ)上,相當(dāng)于給患者重新搭建個(gè)韌帶,盡量保障其行走恢復(fù)如常人。1個(gè)半小時(shí)的手術(shù)在嫻熟的技術(shù)下飛速而過,術(shù)后第二天患者即可無負(fù)重下地。經(jīng)醫(yī)院康復(fù)治療,一周左右可漸進(jìn)負(fù)重,小峰對(duì)手術(shù)效果非常滿意,在出院后的2個(gè)月里謹(jǐn)遵醫(yī)囑,現(xiàn)已完全恢復(fù)行走。
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mso-font-kerning:1.0000pt;">糜院長介紹:“就滑雪運(yùn)動(dòng)損傷而言,關(guān)節(jié)脫位、骨折和顱腦外傷往往易被確診,而膝關(guān)節(jié)韌帶損傷容易誤診、漏診。我就曾經(jīng)碰到過被漏診的案例,患者因膝關(guān)節(jié)扭傷在別家醫(yī)院拍X光片發(fā)現(xiàn)未骨折,運(yùn)動(dòng)損傷診治經(jīng)驗(yàn)不足的醫(yī)生易疏忽,覺得扭傷問題不大,回家修養(yǎng)即可,結(jié)果患者膝關(guān)節(jié)反復(fù)腫脹伴疼痛,延誤治療時(shí)機(jī)。”
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mso-font-kerning:1.0000pt;">溫馨提示:
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">為了讓大家快樂滑雪,安全回家,
mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">糜院長提醒大家,膝關(guān)節(jié)扭傷未必是小事,應(yīng)當(dāng)盡早介入,早診早治,避免更嚴(yán)重的后果發(fā)生。
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mso-font-kerning:1.0000pt;">滑雪防受傷小貼士
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mso-font-kerning:1.0000pt;">冰雪運(yùn)動(dòng)有較高的技巧性,如果運(yùn)動(dòng)不當(dāng),容易對(duì)自身造成傷害。統(tǒng)計(jì)表明,滑雪運(yùn)動(dòng)位居造成膝關(guān)節(jié)韌帶損傷的三大高危運(yùn)動(dòng)之首!
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mso-font-kerning:1.0000pt;">常見的滑雪運(yùn)動(dòng)損傷中膝關(guān)節(jié)最容易遭殃,因?yàn)檠┌濉⒀┭?duì)膝關(guān)節(jié)會(huì)有扭轉(zhuǎn)、前后及側(cè)方的應(yīng)力,前交叉韌帶易受損。此外,內(nèi)、外側(cè)副韌帶,后交叉韌帶及半月板也是受損高風(fēng)險(xiǎn)部位。
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mso-font-kerning:1.0000pt;">雖然受傷后的制動(dòng)休息會(huì)減少疼痛感,但此時(shí)膝關(guān)節(jié)穩(wěn)定性已下降,更容易再次扭傷。而反復(fù)扭傷會(huì)帶動(dòng)膝關(guān)節(jié)內(nèi)半月板、軟骨損傷,直接影響膝關(guān)節(jié)的使用壽命,后果不堪設(shè)想。
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mso-bidi-font-family:'Times New Roman';font-size:10.5000pt;mso-font-kerning:1.0000pt;">所以,作為滑雪小白的我們,在滑雪時(shí),一定要遵循以下原則,減少受傷的幾率:接受專業(yè)教練的指導(dǎo);正確穿戴安全裝備;注意滑雪禮儀,只在對(duì)自己和他人都安全的地方停留;學(xué)習(xí)正確的摔倒姿勢(shì);了解雪道特點(diǎn),選擇適合自己水平的雪道;不要盲目自信,心中有數(shù),不要浪!
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mso-font-kerning:1.0000pt;">運(yùn)動(dòng)醫(yī)學(xué)科 應(yīng)秋雯
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